Monitoring of Lung Stiffness for Long-COVID Patients Using Magnetic Resonance Elastography (MRE) - Archive ouverte HAL
Article Dans Une Revue Magnetic Resonance Imaging Année : 2025

Monitoring of Lung Stiffness for Long-COVID Patients Using Magnetic Resonance Elastography (MRE)

Résumé

Purpose: Transaxial CT imaging is the main clinical imaging modality for the assessment of COVID-induced lung damage. However, this type of data does not quantify the functional properties of the lung. The objective is to provide non-invasive personalized cartographies of lung stiffness for long-COVID patients using MR elastography (MRE) and follow-up the evolution of this quantitative mapping over time. Methods: Seven healthy and seven long-COVID participants underwent CT and MRE imaging at total lung capacity. After CT test, a senior radiologist visually analyzed the lung structure. Less than one month later, a first MRI (1.5 T, GRE sequence) lung density test followed by a first MRE (SE-EPI sequence) test were performed. Gadolinium-doped water phantom and a pneumatic driver (vibration frequency: 50 Hz), placed on the sternum, were used for MRI and MRE tests, respectively. Personalized cartographies of the stiffness were obtained, by two medical imaging engineers, using a specific post processing (MMDI algorithm). The monitoring (lung density, stiffness) was carried out no later than 11 months for each COVID patient. Wilcoxon's tests and an intra-class correlation coefficient (ICC) were used for statistical analysis. Results: The density for long-COVID patients was significantly (P = 0.047) greater (170 kg.m -3 ) compared to healthy (125 kg.m -3 ) subjects. After the first MRE test, the stiffness measured for the healthy subjects was in the same range (median value (interquartile range, IQR): 0.93 (0.09) kPa), while the long-COVID patients showed a larger stiffness range (from 1.39 kPa to 2.05 kPa). After a minimum delay of 5 months, the second MRE test showed a decrease of stiffness (from 22 % to 40 %) for every long-COVID patient. The inter-operator agreement was excellent (intra-class correlation coefficient: 0.93 [0.78 -0.97]). Conclusion: The MRE test is sensitive enough to monitor disease-induced change in lung stiffness (increase with COVID symptoms and decrease with recovery). This non-invasive modality could yield complementary information as a new imaging biomarker to follow up long-COVID patients.
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Dates et versions

hal-04763491 , version 1 (05-11-2024)

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Sabine F Bensamoun, Kiaran P McGee, Mashhour Chakouch, Fabrice Charleux, Philippe Pouletaut. Monitoring of Lung Stiffness for Long-COVID Patients Using Magnetic Resonance Elastography (MRE). Magnetic Resonance Imaging, 2025, 115, pp.110269. ⟨10.1016/j.mri.2024.110269⟩. ⟨hal-04763491⟩
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